Individual provider Active NPI

Anjila Shrestha, DMD

  • General Practice Dentistry
  • Clinton, IN
National Provider Identifier
1245021591
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12014724A Issued in IN
Practice address
1792 In-163
Clinton, IN 47842
Phone
(765) 832-7741
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12014724A IN Primary

Addresses

Primary practice location

1792 In-163
Clinton, IN 47842

Mailing address

668 Heritage LN W
Terre Haute, IN 47803-1383
Phone (914) 427-3279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729002637 IN Practitioner - Dentist 3274040720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1792 E State Road 163
Clinton, IN 47842
Phone (765) 828-3241

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/VALLEY

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1245021591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 HERITAGE LN W",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031383",
            "telephone_number": "914-427-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 IN-163",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "47842",
            "telephone_number": "765-832-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "ANJILA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014724A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.